Organization
CLINICAL CARE PHARMACY OF OWASSO
Active
Other names
Medicap Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY M CAMPBELL PHARMD (OWNER CLINICAL CARE PHARMACY OF OWA)
(918) 274-1737
Entity
Organization
Contact information
Practice address
130 S MAIN ST, OWASSO, OK 74055-3108
(918) 274-1737
(918) 274-1745
Mailing address
130 S MAIN ST, OWASSO, OK 74055-3108
(918) 274-1737
(918) 274-1745
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
24520
OK
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100246800B
—
OK
01
—
3722988
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/03/2006
Last updated
08/25/2025
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